Related Clues:

• Last one in institution's out-and-out loony
• Ending in institution, total psychopath
• Knight, say, is a madman
• Ultimate in madmen, say?
• Eccentric note accompanies issue
• Loco one's noticed at the front, coupled to express
• Eccentric name, say
• Initially Nigella put out fruitcake
• Western exclamation
• Point and say 'loony'
• Lunatic (sl.)
• New leader, complete lunatic
• One regarded as mad in northern state
• Nationalist, say, crazy guy
• Derogatory term for a fool